36C24419Q1119-002.docx
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- Solicitation number
- 36C24419Q1119
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36C24419Q1119 SCHEDULE.docx
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?.## PRICE/COST SCHEDULE
ITEM INFORMATION
| ITEM NUMBER |
| DESCRIPTION OF SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| 22.00 |
| EA |
| __________________ |
| __________________ |
XE-133 Xenon gas 10 mCi Vial, Size 10mci
LOCAL STOCK NUMBER: N/A
Contract Period: Base POP Begin: 10-01-2019 POP End: 09-30-2020
| 1.00 |
| EA |
| __________________ |
| __________________ |
XE-133 Xenon gas 20 mCi Vial, Size 20mci
LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 13.00 |
| EA |
| __________________ |
| __________________ |
1-123 Capsule (200uCi), Size 200uci
LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 5.00 |
| EA |
| __________________ |
| __________________ |
1-131 Sodium Iodine Diagnostic Capsule (0-100 uCi), Size 5-20uci
LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 5.00 |
| EA |
| __________________ |
| __________________ |
I-131 Therapy Dose (1st mCi), Size 1mci
LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 240.00 |
| EA |
| __________________ |
| __________________ |
I-131 Therapy Dose (ea. Additional mCi after 1st dose), Size 15-30 mci
LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 740.00 |
| EA |
| __________________ |
| __________________ |
Sodium Pertechnetate Tc-99m- Per mCi, Size 35uci
LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 23.00 |
| EA |
| __________________ |
| __________________ |
Sodium Pertechnetate Tc-99 – Unit Dose (0-25 mCi), Size 10-25mci
LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 31.00 |
| EA |
| __________________ |
| __________________ |
Sodium Pertechnetate Tc-99 – Unit Dose (26-50 mCi), Size 26-50mci
LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 270.00 |
| EA |
| __________________ |
| __________________ |
Medronate (MDP) Tc-99, Size 30mci
LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 30.00 |
| EA |
| __________________ |
| __________________ |
Albumin Aggregated (MAA) Tc-99m, Size 5mci
LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 12.00 |
| EA |
| __________________ |
| __________________ |
Ga-67 Citrate – per mCi, Size 10mci
Contract Period: Base
| 1448.00 |
| EA |
| __________________ |
| __________________ |
Sestamibi Tc-99m, Size 10-29mci
Contract Period: Base
| 1.00 |
| EA |
| __________________ |
| __________________ |
Ancillary Hot Lab Supplies (Co-57 Sealed Source), Size .05mci
LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 1.00 |
| EA |
| __________________ |
| __________________ |
Ancillary Hot Lab Supplies (Gd-157 Sealed Source), Size 10mci Contract Period: Base
| 3.00 |
| EA |
| __________________ |
| __________________ |
In-111 White Blood Cells, Size 300-500uci
Contract Period: Base
| 11.00 |
| EA |
| __________________ |
| __________________ |
Sodium Pertechnetate Tc-99m- Flood Source (0-1 mCi), Size 1mci
LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 12.00 |
| EA |
| __________________ |
| __________________ |
Sodium Pertechnetate Tc-99m- Flood/COR Source (2 mCi), Size 10mci
LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 25.00 |
| EA |
| __________________ |
| __________________ |
Mebrofenin (Generic) Tc-99m, Size10mci
Contract Period: Base
| 31.00 |
| EA |
| __________________ |
| __________________ |
Mertiatide (MAG-3) Tc-99m, Size10mci
Contract Period: Base
| 25.00 |
| EA |
| __________________ |
| __________________ |
Sulfur Colloid Tc-99m, Size 1-10mci LOCAL STOCK NUMBER: N/a Contract Period: Base
| 30.00 |
| EA |
| __________________ |
| __________________ |
Ultratag RBC Vial Kit, Size N/A
Contract Period: Base
| 15.00 |
| EA |
| __________________ |
| __________________ |
Sincalide for injection – Vial (Kinevac), Size N/A
Contract Period: Base
| 4.00 |
| EA |
| __________________ |
| __________________ |
In-111 Pentetreotide (Octreoscan) Size 6MCI
LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 3.00 |
| EA |
| __________________ |
| __________________ |
Sulfur Colliod Filtered Tc-99m, Size 1.5MCI
Contract Period: Base
| 8.00 |
| EA |
| __________________ |
| __________________ |
Heprin Sodium 1000 units/ 1ml Vial Size N/A
LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 1.00 |
| EA |
| __________________ |
| __________________ |
In-111 Pentetrate (DTPA)
Contract Period: Base
| 1.00 |
| EA |
| __________________ |
| __________________ |
I123-lobenguane Injection (AdreView)
Contract Period: Base
| 4.00 |
| EA |
| __________________ |
| __________________ |
WBC Set-Up for In-111 Blood, Size N/A
Contract Period: Base
| 21.00 |
| EA |
| __________________ |
| __________________ |
STAT Delivery Charge(s), Size N/A
Contract Period: Base
| GRAND TOTAL |
| __________________ |
| ITEM NUMBER |
| DESCRIPTION OF SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| 22.00 |
| EA |
| __________________ |
| __________________ |
XE-133 Xenon gas 10 mCi Vial, Size 10mci
LOCAL STOCK NUMBER: N/A
Contract Period: Base POP Begin: 10-01-2020 POP End: 09-30-2021
| 1.00 |
| EA |
| __________________ |
| __________________ |
XE-133 Xenon gas 20 mCi Vial, LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 13.00 |
| EA |
| __________________ |
| __________________ |
I-123 Capsule (200uCi), LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 5.00 |
| EA |
| __________________ |
| __________________ |
1-131 Sodium Iodine Diagnostic Capsule (0-100 uCi), Size 5-20uci
LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 5.00 |
| EA |
| __________________ |
| __________________ |
I-131 Therapy Dose (1st mCi), LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 240.00 |
| EA |
| __________________ |
| __________________ |
I-131 Therapy Dose (ea. Additional
LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 740.00 |
| EA |
| __________________ |
| __________________ |
Sodium Pertechnetate Tc-99m-
LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 23.00 |
| EA |
| __________________ |
| __________________ |
Sodium Pertechnetate Tc-99m – Unit Dose (0-25 mCi), Size 10-25mci
LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 500.00 |
| EA |
| __________________ |
| __________________ |
Sodium Pertechnetate Tc-99m – Unit Dose (26-50 mCi), Size 26-50mci
Contract Period: Base
| 270.00 |
| EA |
| __________________ |
| __________________ |
Medronate (MDP) Tc-99, Size 30mci
Contract Period: Base
| 30.00 |
| EA |
| __________________ |
| __________________ |
Albumin Aggregated (MAA) Tc-99m, Size 5mci
Contract Period: Base
| 12.00 |
| EA |
| __________________ |
| __________________ |
Ga-67 Citrate – per mCi, Size 10mci
Contract Period: Base
| 1448.00 |
| EA |
| __________________ |
| __________________ |
Sestamibi Tc-99m, Size 10-29mci
Contract Period: Base
| 1.00 |
| EA |
| __________________ |
| __________________ |
Ancillary Hot Lab Supplies (Co-57 Sealed Source), Size .05mci
Contract Period: Base
| 1.00 |
| EA |
| __________________ |
| __________________ |
Ancillary Hot Lab Supplies (Gd-157 Sealed Source), Size 10mci
Contract Period: Base
| 3.00 |
| EA |
| __________________ |
| __________________ |
In-111 White Blood Cells, Size 300-500uci
Contract Period: Base
| 11.00 |
| EA |
| __________________ |
| __________________ |
Sodium Pertechnetate Tc-99m-Flood Source (0-1 mCi), Size 1mci
Contract Period: Base
| 12.00 |
| EA |
| __________________ |
| __________________ |
Sodium Pertechnetate Tc-99m-Flood/COR Source (2 mCi), Size 10mci
Contract Period: Base
| 25.00 |
| EA |
| __________________ |
| __________________ |
Mebrofenin (Generic) Tc-99m, Size10mci
Contract Period: Base
| 31.00 |
| EA |
| __________________ |
| __________________ |
Mebrofenin (MAG-3) Tc-99m, Size10mci
Contract Period: Base
| 89.00 |
| EA |
| __________________ |
| __________________ |
Sulfur Colloid Tc-99m, Size 1-10mci
Contract Period: Base
| 30.00 |
| EA |
| __________________ |
| __________________ |
Ultratag RBC Vial Kit, Size N/A
Contract Period: Base
| 25.00 |
| EA |
| __________________ |
| __________________ |
Sincalide for injection – Vial (Kinevac), Size N/A
Contract Period: Base
| 4.00 |
| EA |
| __________________ |
| __________________ |
In-111 Pentetreotide (Octreoscan) Size 6MCI
Contract Period: Base
| 3.00 |
| EA |
| __________________ |
| __________________ |
Sulfur Colliod Filtered Tc-99m, Size 1.5MCI
Contract Period: Base
| 8.00 |
| EA |
| __________________ |
| __________________ |
Heprin Sodium 1000 units/ 1ml Vial Size N/A
Contract Period: Base
| 1.00 |
| EA |
| __________________ |
| __________________ |
In-111 Pentetrate (DTPA)
Contract Period: Base
| 1.00 |
| EA |
| __________________ |
| __________________ |
I123-lobenguane Injection (AdreView)
Contract Period: Base
| 4.00 |
| EA |
| __________________ |
| __________________ |
WBC Set-Up for In-111 Blood, Size N/A
Contract Period: Base
| 21.00 |
| EA |
| __________________ |
| __________________ |
STAT Delivery Charge(s), Size N/A
Contract Period: Base
| GRAND TOTAL |
| __________________ |
| ITEM NUMBER |
| DESCRIPTION OF SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| 22.00 |
| EA |
| __________________ |
| __________________ |
XE-133 Xenon gas 10 mCi Vial, Contract Period: Base POP Begin: 10-01-2021 POP End: 09-30-2022
| 1.00 |
| EA |
| __________________ |
| __________________ |
XE-133 Xenon gas 20 mCi Vial, LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 13.00 |
| EA |
| __________________ |
| __________________ |
1-123 Capsule (200uCi), Size 200mci
LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 5.00 |
| EA |
| __________________ |
| __________________ |
1-131 Sodium Iodine Diagnostic Capsule (0-100 uCi), Size 5-20uci
LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 5.00 |
| EA |
| __________________ |
| __________________ |
I-131 Therapy Dose (1st mCi), LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 240.00 |
| EA |
| __________________ |
| __________________ |
I-131 Therapy Dose (ea. Additional
LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 740.00 |
| EA |
| __________________ |
| __________________ |
Sodium Pertechnetate Tc-99m-
LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 23.00 |
| EA |
| __________________ |
| __________________ |
Sodium Pertechnetate Tc-99m –
LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 31.00 |
| EA |
| __________________ |
| __________________ |
Sodium Pertechnetate Tc-99m – Unit Dose (26-50 mCi), Size 26-50mci
LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 270.00 |
| EA |
| __________________ |
| __________________ |
Medronate (MDP) Tc-99, Size 30mci
Contract Period: Base
| 30.00 |
| EA |
| __________________ |
| __________________ |
Albumin Aggregated (MAA) Tc-99m, Size 5mci
Contract Period: Base
| 12.00 |
| EA |
| __________________ |
| __________________ |
Ga-67 Citrate – per mCi, Size 10mci
Contract Period: Base
| 1448.00 |
| EA |
| __________________ |
| __________________ |
Sestamibi Tc-99m, Size 10-29mci
Contract Period: Base
| 1.00 |
| EA |
| __________________ |
| __________________ |
Ancillary Hot Lab Supplies (Co-57 Sealed Source), Size .05mci
Contract Period: Base
| 1.00 |
| EA |
| __________________ |
| __________________ |
Ancillary Hot Lab Supplies (Gd-157 Sealed Source), Size 10mci
Contract Period: Base
| 3.00 |
| EA |
| __________________ |
| __________________ |
In-111 White Blood Cells, Size 300-500uci
Contract Period: Base
| 11.00 |
| EA |
| __________________ |
| __________________ |
Sodium Pertechnetate Tc-99m-Flood Source (0-1 mCi), Size 1mci
Contract Period: Base
| 12.00 |
| EA |
| __________________ |
| __________________ |
Sodium Pertechnetate Tc-99m-Flood/COR Source (2 mCi), Size 10mci
Contract Period: Base
| 25.00 |
| EA |
| __________________ |
| __________________ |
Mebrofenin (Generic) Tc-99m, Size10mci
Contract Period: Base
| 31.00 |
| EA |
| __________________ |
| __________________ |
Mebrofenin (MAG-3) Tc-99m, Size10mci
Contract Period: Base
| 89.00 |
| EA |
| __________________ |
| __________________ |
Sulfur Colloid Tc-99m, Size 1-10mci
Contract Period: Base
| 30.00 |
| EA |
| __________________ |
| __________________ |
Ultratag RBC Vial Kit, Size N/A
Contract Period: Base
| 25.00 |
| EA |
| __________________ |
| __________________ |
Sincalide for injection – Vial (Kinevac), Size N/A
Contract Period: Base
| 4.00 |
| EA |
| __________________ |
| __________________ |
In-111 Pentetreotide (Octreoscan) Size 6MCI
Contract Period: Base
| 3.00 |
| EA |
| __________________ |
| __________________ |
Sulfur Colliod Filtered Tc-99m, Size 1.5MCI
Contract Period: Base
| 8.00 |
| EA |
| __________________ |
| __________________ |
Heprin Sodium 1000 units/ 1ml Vial Size N/A
Contract Period: Base
| 1.00 |
| EA |
| __________________ |
| __________________ |
In-111 Pentetrate (DTPA)
Contract Period: Base
| 1.00 |
| EA |
| __________________ |
| __________________ |
I123-lobenguane Injection (AdreView)
Contract Period: Base
| 4.00 |
| EA |
| __________________ |
| __________________ |
WBC Set-Up for In-111 Blood, Size N/A
Contract Period: Base
| 21.00 |
| EA |
| __________________ |
| __________________ |
STAT Delivery Charge(s), Size N/A
Contract Period: Base
| GRAND TOTAL |
| __________________ |
| ITEM NUMBER |
| DESCRIPTION OF SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| 22.00 |
| EA |
| __________________ |
| __________________ |
XE-133 Xenon gas 10 mCi Vial, Contract Period: Base POP Begin: 10-01-2022 POP End: 09-30-2023
| 1.00 |
| EA |
| __________________ |
| __________________ |
XE-133 Xenon gas 20 mCi Vial, LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 13.00 |
| EA |
| __________________ |
| __________________ |
1-123 Capsule (200uCi), LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 5.00 |
| EA |
| __________________ |
| __________________ |
1-131 Sodium Iodine Diagnostic Capsule (0-100 uCi), LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 5.00 |
| EA |
| __________________ |
| __________________ |
I-131 Therapy Dose (1st mCi), LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 240.00 |
| EA |
| __________________ |
| __________________ |
I-131 Therapy Dose (ea. Additional
LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 740.00 |
| EA |
| __________________ |
| __________________ |
Sodium Pertechnetate Tc-99m-
LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 23.00 |
| EA |
| __________________ |
| __________________ |
Sodium Pertechnetate Tc-99m –
LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 31.00 |
| EA |
| __________________ |
| __________________ |
Sodium Pertechnetate Tc-99m –
LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 270.00 |
| EA |
| __________________ |
| __________________ |
Medronate (MDP) Tc-99, Size 30mci
Contract Period: Base
| 30.00 |
| EA |
| __________________ |
| __________________ |
Albumin Aggregated (MAA) Tc-99m, Size 5mci
Contract Period: Base
| 12.00 |
| EA |
| __________________ |
| __________________ |
Ga-67 Citrate – per mCi, Size 10mci
Contract Period: Base
| 1448.00 |
| EA |
| __________________ |
| __________________ |
Sestamibi Tc-99m, Size 10-29mci
Contract Period: Base
| 1.00 |
| EA |
| __________________ |
| __________________ |
Ancillary Hot Lab Supplies (Co-57 Sealed Source), Size .05mci
Contract Period: Base
| 1.00 |
| EA |
| __________________ |
| __________________ |
Ancillary Hot Lab Supplies (Gd-157 Sealed Source), Size 10mci
Contract Period: Base
| 3.00 |
| EA |
| __________________ |
| __________________ |
In-111 White Blood Cells, Size 300-500uci
Contract Period: Base
| 11.00 |
| EA |
| __________________ |
| __________________ |
Sodium Pertechnetate Tc-99m-Flood Source (0-1 mCi), Size 1mci
Contract Period: Base
| 12.00 |
| EA |
| __________________ |
| __________________ |
Sodium Pertechnetate Tc-99m-Flood/COR Source (2 mCi), Size 10mci
Contract Period: Base
| 25.00 |
| EA |
| __________________ |
| __________________ |
Mebrofenin (Generic) Tc-99m, Size10mci
Contract Period: Base
| 31.00 |
| EA |
| __________________ |
| __________________ |
Mebrofenin (MAG-3) Tc-99m, Size10mci
Contract Period: Base
| 89.00 |
| EA |
| __________________ |
| __________________ |
Sulfur Colloid Tc-99m, Size 1-10mci
Contract Period: Base
| 30.00 |
| EA |
| __________________ |
| __________________ |
Ultratag RBC Vial Kit, Size N/A
Contract Period: Base
| 25.00 |
| EA |
| __________________ |
| __________________ |
Sincalide for injection – Vial (Kinevac), Size N/A
Contract Period: Base
| 4.00 |
| EA |
| __________________ |
| __________________ |
In-111 Pentetreotide (Octreoscan) Size 6MCI
Contract Period: Base
| 3.00 |
| EA |
| __________________ |
| __________________ |
Sulfur Colliod Filtered Tc-99m, Size 1.5MCI
Contract Period: Base
| 8.00 |
| EA |
| __________________ |
| __________________ |
Heprin Sodium 1000 units/ 1ml Vial Size N/A
Contract Period: Base
| 1.00 |
| EA |
| __________________ |
| __________________ |
In-111 Pentetrate (DTPA)
Contract Period: Base
| 1.00 |
| EA |
| __________________ |
| __________________ |
I123-lobenguane Injection (AdreView)
Contract Period: Base
| 4.00 |
| EA |
| __________________ |
| __________________ |
WBC Set-Up for In-111 Blood, Size N/A
Contract Period: Base
| 21.00 |
| EA |
| __________________ |
| __________________ |
STAT Delivery Charge(s), Size N/A
Contract Period: Base
| GRAND TOTAL |
| __________________ |
| ITEM NUMBER |
| DESCRIPTION OF SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| 22.00 |
| EA |
| __________________ |
| __________________ |
XE-133 Xenon gas 10 mCi Vial, Contract Period: Base POP Begin: 10-01-2023 POP End: 09-30-2024
| 1.00 |
| EA |
| __________________ |
| __________________ |
XE-133 Xenon gas 20 mCi Vial, LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 13.00 |
| EA |
| __________________ |
| __________________ |
1-123 Capsule (200uCi), LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 5.00 |
| EA |
| __________________ |
| __________________ |
1-131 Sodium Iodine Diagnostic Capsule (0-100 uCi), LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 5.00 |
| EA |
| __________________ |
| __________________ |
I-131 Therapy Dose (1st mCi), LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 240.00 |
| EA |
| __________________ |
| __________________ |
I-131 Therapy Dose (ea. Additional
LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 740.00 |
| EA |
| __________________ |
| __________________ |
Sodium Pertechnetate Tc-99m-
LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 23.00 |
| EA |
| __________________ |
| __________________ |
Sodium Pertechnetate Tc-99m –
LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 31.00 |
| EA |
| __________________ |
| __________________ |
Sodium Pertechnetate Tc-99m –
LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 270.00 |
| EA |
| __________________ |
| __________________ |
Medronate (MDP) Tc-99, Size 30mci
Contract Period: Base
| 30.00 |
| EA |
| __________________ |
| __________________ |
Albumin Aggregated (MAA) Tc-99m, Size 5mci
Contract Period: Base
| 12.00 |
| EA |
| __________________ |
| __________________ |
Ga-67 Citrate – per mCi, Size 10mci
Contract Period: Base
| 1448.00 |
| EA |
| __________________ |
| __________________ |
Sestamibi Tc-99m, Size 10-29mci
Contract Period: Base
| 1.00 |
| EA |
| __________________ |
| __________________ |
Ancillary Hot Lab Supplies (Co-57 Sealed Source), Size .05mci
Contract Period: Base
| 1.00 |
| EA |
| __________________ |
| __________________ |
Ancillary Hot Lab Supplies (Gd-157 Sealed Source), Size 10mci
Contract Period: Base
| 3.00 |
| EA |
| __________________ |
| __________________ |
In-111 White Blood Cells, Size 300-500uci
Contract Period: Base
| 11.00 |
| EA |
| __________________ |
| __________________ |
Sodium Pertechnetate Tc-99m-Flood Source (0-1 mCi), Size 1mci
Contract Period: Base
| 12.00 |
| EA |
| __________________ |
| __________________ |
Sodium Pertechnetate Tc-99m-Flood/COR Source (2 mCi), Size 10mci
Contract Period: Base
| 25.00 |
| EA |
| __________________ |
| __________________ |
Mebrofenin (Generic) Tc-99m, Size10mci
Contract Period: Base
| 31.00 |
| EA |
| __________________ |
| __________________ |
Mebrofenin (MAG-3) Tc-99m, Size10mci
Contract Period: Base
| 89.00 |
| EA |
| __________________ |
| __________________ |
Sulfur Colloid Tc-99m, Size 1-10mci
Contract Period: Base
| 30.00 |
| EA |
| __________________ |
| __________________ |
Ultratag RBC Vial Kit, Size N/A
Contract Period: Base
| 25.00 |
| EA |
| __________________ |
| __________________ |
Sincalide for injection – Vial (Kinevac), Size N/A
Contract Period: Base
| 4.00 |
| EA |
| __________________ |
| __________________ |
In-111 Pentetreotide (Octreoscan) Size 6MCI
Contract Period: Base
| 3.00 |
| EA |
| __________________ |
| __________________ |
Sulfur Colliod Filtered Tc-99m, Size 1.5MCI
Contract Period: Base
| 8.00 |
| EA |
| __________________ |
| __________________ |
Heprin Sodium 1000 units/ 1ml Vial Size N/A
Contract Period: Base
| 1.00 |
| EA |
| __________________ |
| __________________ |
In-111 Pentetrate (DTPA)
Contract Period: Base
| 1.00 |
| EA |
| __________________ |
| __________________ |
I123-lobenguane Injection (AdreView)
Contract Period: Base
| 4.00 |
| EA |
| __________________ |
| __________________ |
WBC Set-Up for In-111 Blood, Size N/A
Contract Period: Base
| 21.00 |
| EA |
| __________________ |
| __________________ |
STAT Delivery Charge(s), Size N/A
Contract Period: Base
| GRAND TOTAL |
| __________________ |
Delivery:
Wilmington VA Medical Center Radiology Department 1601 Kirkwood Highway Wilmington, DE 19805
POC:
Freddy Ortiz Freddy.ortiz2@va.gov, (302)994-2511 ext 4202
File details come from the government source that posted it.